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Individual

SANDRA M. TRUSKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
10990 KNIGHTS RD, PHILADELPHIA, PA 19154-4210
(215) 632-6444
(215) 632-1899
Mailing address
10990 KNIGHTS RD, PHILADELPHIA, PA 19154-4210
(215) 632-6444
(215) 632-1899

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC002344L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0060358000
10 DIGIT HMO ID
PA
Enumeration date
07/18/2007
Last updated
07/18/2007
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